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Deficiency Records for Complete Care at Green Knoll
A list of the most recent deficiencies for Complete Care at Green Knoll. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Complete Care at Green Knoll. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
---|---|---|---|---|
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2024-09-26 | 2024-12-13 | N |
Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-09-26 | 2024-11-18 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2024-09-26 | 2024-10-23 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-09-26 | 2024-10-15 | N |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-09-26 | 2024-10-11 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-26 | 2024-10-11 | N |
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-09-26 | 2024-10-11 | N |
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-09-26 | 2024-10-11 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-09-26 | 2024-10-11 | N |
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-09-26 | 2024-10-04 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-09-26 | 2024-10-04 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-09-26 | 2024-10-04 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-09-26 | 2024-10-04 | N |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-09-26 | 2024-10-04 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-09-26 | 2024-10-04 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-09-26 | 2024-10-04 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-24 | 2023-06-12 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-24 | 2023-06-12 | Y |
Ensure that residents are free from significant medication errors. | Health | 2023-04-24 | 2023-06-12 | Y |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-29 | 2022-11-17 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-09-29 | 2022-11-08 | N |
Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-09-29 | 2022-11-07 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-09-29 | 2022-11-07 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-29 | 2022-11-07 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2022-09-29 | 2022-11-07 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-29 | 2022-11-07 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-09-29 | 2022-11-07 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-09-29 | 2022-11-07 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-02-13 | 2020-04-22 | N |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2020-02-13 | 2020-04-22 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-13 | 2020-04-22 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-13 | 2020-04-22 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-13 | 2020-04-22 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2020-02-13 | 2020-04-22 | N |
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2020-02-13 | 2020-04-22 | N |
Provide and implement an infection prevention and control program. | Health | 2020-02-13 | 2020-04-22 | N |
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